A home health agency in Warren, MI. It ran an operating loss of 0.8% in FY23 on $0.4M of operating revenue. It held 61 days of cash on hand (75th percentile among home health agencies on liquidity). Operating margin improved from -19.1% in FY20 to -0.8% in FY23. On care, it carries a 3.5-star CMS quality rating. Its within-stay preventable hospitalization runs 8.9%. On the filed record it is running at an operating loss with mid-range measured quality. Source-reported context, not a recommendation.
Quality of patient care star
3.5★
Verified fact2026
Source: CMS Care Compare
Days cash on hand · FY23
61d
all sources
▲ 8.6 days vs FY22
vs home health agencies75th pctl of 4,699 (FY24)
Operating margin · FY23
-0.8%
▲ 11.2 pts vs FY22
vs home health agencies35th pctl of 6,394 (FY24)
Within-stay preventable hospitalization
8.9%
Verified fact2026
Source: CMS Care Compare
Where AQUARIUS HOME CARE, sits among home health agencies
Operating margin · FY24 pool · n = 6,394 of 8,555 filed
Each point is one home health agency in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The home health agency median is +4.1%. Descriptive context only, not a ranking.
One home health agencyAQUARIUS HOMEhome health agency median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this home health agency is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Operating margin
-0.8% (FY23)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-0.8% (FY23)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
61d (FY23)
Cash & investments ÷ daily operating expense
HCRIS WS G / G-3
Current ratio
Not reported in this filing
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
52% (FY23)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not reported in this filing
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY21
FY22
FY23
Patient revenue
598
468
424
Total operating revenue
598
468
424
Total operating expenses
617
524
427
Operating income
(19)
(56)
(3)
Operating margin %
-3.2%
-12.0%
-0.7%
Other non-operating, net
0
0
0
Net income
(19)
(56)
(3)
Net income %
-3.2%
-12.0%
-0.7%
HCRIS CMS-1728 cost report · $ thousands · FY20–FY24 · operating revenue reflects net patient service revenue · FY20–21 may include COVID-era relief funding
How it operates
quality & operational context · CMS public reporting
The metrics this home health agency type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Quality of patient care star
3.5★
Verified fact2026
CMS Care Compare
Timely initiation of care
96.9%
Verified fact2026
CMS Care Compare
Improvement in ambulation
85.2%
Verified fact2026
CMS Care Compare
Improvement in dyspnea
93.2%
Verified fact2026
CMS Care Compare
Within-stay preventable hospitalization
8.9%
Verified fact2026
CMS Care Compare
Discharge to community
82.2%
Proxy2024
CMS HHVBP
Rated care 9–10
91.0%
Proxy2026
CMS HHCAHPS
ZIP codes served
68
Proxy2026
CMS HH PUF
Visits / episodes
1,666
Verified fact2023
CMS HH PUF
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this home health agency serves
Macomb County, MI · metro, 1M+ population
Median household income
$76.4K
vs $82.1K US · $59.7K rural median
Poverty rate
9.8%
vs 12.5% US · 14.3% rural median
Uninsured
5.0%
vs 8.6% US · 8.4% rural median
Age 65+
17.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 20.2% arrives as government transfers (BEA, 2022).
Opportunity screen · FY23
≈ $128K
of annual opportunity identified against peer medians across 2 measures
Directional, conservative band. Arithmetic against matched-peer medians from public filings, not a projection; public data cannot fully control for patient acuity.
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